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Curr Opin Biomed Eng. 2018 Dec;8:45-50. doi: 10.1016/j.cobme.2018.10.003. Epub 2018 Oct 26.

Neuroethics of Neuromodulation: An Update.

Current opinion in biomedical engineering

Peter Zuk, Laura Torgerson, Demetrio Sierra-Mercado, Gabriel Lázaro-Muñoz

Affiliations

  1. Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, Texas, USA.
  2. Department of Philosophy, Rice University, Houston, Texas, USA.
  3. Department of Anatomy & Neurobiology, University of Puerto Rico School of Medicine, San Juan, Puerto Rico.

PMID: 30687802 PMCID: PMC6345549 DOI: 10.1016/j.cobme.2018.10.003

Abstract

This article reviews neuroethics issues that arise with the development, translation, and use of technologies for neuromodulation. Three electronic databases (PubMed, Embase, and PhilPapers) were searched for relevant articles published between 1/1/16 - 6/26/18. We focus on pressing ethical issues related to the use of deep brain stimulation (DBS), adaptive DBS (aDBS), transcranial magnetic stimulation (TMS), transcranial direct current stimulation (tDCS), and associated technologies. The neuroethics issues we address include privacy, continued access to devices, device removal, do-it-yourself neurostimulation, neuroenhancement, media coverage, changes in personal identity and agency, informed consent, and neuromodulation in minors. This review should be of assistance to a variety of stakeholders, including neurotechnology developers, as they make important decisions that will drive these neurotechnologies.

Keywords: DBS; Enhancement; Ethics; Neuroscience; Neurotechnology; Registry

Conflict of interest statement

Disclosures The authors declare no conflict of interest.

References

  1. Am J Psychiatry. 2002 Jul;159(7):1201-7 - PubMed
  2. IRB. 2003 May-Jun;25(3):9-11 - PubMed
  3. Schizophr Bull. 2006 Jan;32(1):22-5 - PubMed
  4. Camb Q Healthc Ethics. 2007 Summer;16(3):312-6 - PubMed
  5. Schizophr Bull. 2009 Jul;35(4):719-29 - PubMed
  6. JAMA. 2010 Feb 24;303(8):775-6 - PubMed
  7. Front Integr Neurosci. 2011 May 10;5:16 - PubMed
  8. Int J Comput Assist Radiol Surg. 2015 Jun;10(6):815-23 - PubMed
  9. J Med Ethics. 2016 Apr;42(4):211-5 - PubMed
  10. J Child Neurol. 2016 May;31(6):784-96 - PubMed
  11. Neurosurgery. 2016 May;78(5):E762-4 - PubMed
  12. J Neural Transm (Vienna). 2016 Oct;123(10):1219-34 - PubMed
  13. Front Neurosci. 2016 Apr 25;10:170 - PubMed
  14. Eur J Paediatr Neurol. 2017 Jan;21(1):49-55 - PubMed
  15. J Child Adolesc Psychopharmacol. 2016 Sep;26(7):578-81 - PubMed
  16. Camb Q Healthc Ethics. 2016 Oct;25(4):659-73 - PubMed
  17. Camb Q Healthc Ethics. 2016 Oct;25(4):755-8 - PubMed
  18. Eur J Paediatr Neurol. 2017 Jan;21(1):185-192 - PubMed
  19. Neuropsychologia. 2016 Oct;91:544-552 - PubMed
  20. J Med Ethics. 2017 Jan;43(1):30-34 - PubMed
  21. Front Integr Neurosci. 2016 Nov 22;10:38 - PubMed
  22. J Alzheimers Dis. 2017;56(2):429-439 - PubMed
  23. Front Psychiatry. 2017 Mar 20;8:44 - PubMed
  24. Front Hum Neurosci. 2017 Mar 27;11:142 - PubMed
  25. PLoS One. 2017 Apr 20;12(4):e0175748 - PubMed
  26. BMC Pediatr. 2017 May 8;17(1):120 - PubMed
  27. Neuromodulation. 2017 Jul;20(5):411-416 - PubMed
  28. Bioethics. 2017 Jun;31(5):338-348 - PubMed
  29. Neuromodulation. 2018 Feb;21(2):135-143 - PubMed
  30. Front Psychiatry. 2017 Jun 07;8:91 - PubMed
  31. Front Integr Neurosci. 2017 Jun 08;11:11 - PubMed
  32. Sci Eng Ethics. 2018 Aug;24(4):1119-1142 - PubMed
  33. Neurosurgery. 2018 Jul 1;83(1):29-37 - PubMed
  34. Trends Psychiatry Psychother. 2017 Oct-Dec;39(4):232-238 - PubMed
  35. Acta Neurochir (Wien). 2018 Mar;160(3):625-635 - PubMed
  36. AJOB Empir Bioeth. 2018 Jan-Mar;9(1):29-38 - PubMed
  37. Front Neurosci. 2018 Jan 24;11:734 - PubMed
  38. Nat Rev Neurosci. 2018 Jun;19(6):317-318 - PubMed
  39. Neuroethics. 2018;11(2):143-155 - PubMed

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